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Prevalence of protein-energy wasting and its various types in Iranian hemodialysis patients: a new classification.
Ren Fail. 2012; 34(10):1200-5.RF

Abstract

BACKGROUND

This study was designed to determine the prevalence of protein-energy wasting (PEW) and its various types in hemodialysis (HD) patients in Tehran, Iran.

METHODS

For this cross-sectional study, 291 HD patients were randomly selected. The nutritional status of the patients was determined by subjective global assessment (SGA) and their dietary intakes were assessed using a 4-day dietary recall. In addition, serum high-sensitive C-reactive protein (hs-CRP) was measured.

RESULTS

The prevalence of mild-to-moderate and severe PEW based on SGA was 60.5% and 1% in Tehran HD patients, respectively. The prevalence of various types of PEW in HD patients was 20.5% type I (inadequate energy or protein intake without inflammation), 65.5% type IIa (inadequate energy or protein intake with inflammation), and 14% type IIb (adequate energy and protein intake with inflammation). Of the total HD patients with no PEW based on SGA, about 3.5% had type 0 normal nutritional status (adequate energy and protein intake without inflammation), 34% had type I normal nutritional status (inadequate energy or protein intake without inflammation), 55.5% had type IIa normal nutritional status (inadequate energy or protein intake with inflammation), and 7% had type IIb normal nutritional status (adequate energy and protein intake with inflammation).

CONCLUSION

PEW in Tehran HD patients is considerably prevalent and PEW type IIa is the most common type. In addition, HD patients with no PEW based on SGA should also be paid attention because they may be in the early stages of inadequate intake of energy and/or protein and inflammation.

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Authors+Show Affiliations

Tabibi H
Department of Clinical Nutrition & Dietetics, Shahid Beheshti University of Medical Sciences, Tehran, Iran. hadtabibi@yahoo.com
As'habi A
No affiliation info available
Heshmati BN
No affiliation info available
Mahdavi-Mazdeh M
No affiliation info available
Hedayati M
No affiliation info available

MeSH

AdolescentAdultCross-Sectional StudiesFemaleHumansIranMaleMiddle AgedPrevalenceProtein-Energy MalnutritionRenal DialysisWasting SyndromeYoung Adult

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23002898

Citation

Tabibi, Hadi, et al. "Prevalence of Protein-energy Wasting and Its Various Types in Iranian Hemodialysis Patients: a New Classification." Renal Failure, vol. 34, no. 10, 2012, pp. 1200-5.
Tabibi H, As'habi A, Heshmati BN, et al. Prevalence of protein-energy wasting and its various types in Iranian hemodialysis patients: a new classification. Ren Fail. 2012;34(10):1200-5.
Tabibi, H., As'habi, A., Heshmati, B. N., Mahdavi-Mazdeh, M., & Hedayati, M. (2012). Prevalence of protein-energy wasting and its various types in Iranian hemodialysis patients: a new classification. Renal Failure, 34(10), 1200-5. https://doi.org/10.3109/0886022X.2012.718710
Tabibi H, et al. Prevalence of Protein-energy Wasting and Its Various Types in Iranian Hemodialysis Patients: a New Classification. Ren Fail. 2012;34(10):1200-5. PubMed PMID: 23002898.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence of protein-energy wasting and its various types in Iranian hemodialysis patients: a new classification. AU - Tabibi,Hadi, AU - As'habi,Atefeh, AU - Heshmati,Behnaz Nozary, AU - Mahdavi-Mazdeh,Mitra, AU - Hedayati,Mehdi, Y1 - 2012/09/24/ PY - 2012/9/26/entrez PY - 2012/9/26/pubmed PY - 2013/4/16/medline SP - 1200 EP - 5 JF - Renal failure JO - Ren Fail VL - 34 IS - 10 N2 - BACKGROUND: This study was designed to determine the prevalence of protein-energy wasting (PEW) and its various types in hemodialysis (HD) patients in Tehran, Iran. METHODS: For this cross-sectional study, 291 HD patients were randomly selected. The nutritional status of the patients was determined by subjective global assessment (SGA) and their dietary intakes were assessed using a 4-day dietary recall. In addition, serum high-sensitive C-reactive protein (hs-CRP) was measured. RESULTS: The prevalence of mild-to-moderate and severe PEW based on SGA was 60.5% and 1% in Tehran HD patients, respectively. The prevalence of various types of PEW in HD patients was 20.5% type I (inadequate energy or protein intake without inflammation), 65.5% type IIa (inadequate energy or protein intake with inflammation), and 14% type IIb (adequate energy and protein intake with inflammation). Of the total HD patients with no PEW based on SGA, about 3.5% had type 0 normal nutritional status (adequate energy and protein intake without inflammation), 34% had type I normal nutritional status (inadequate energy or protein intake without inflammation), 55.5% had type IIa normal nutritional status (inadequate energy or protein intake with inflammation), and 7% had type IIb normal nutritional status (adequate energy and protein intake with inflammation). CONCLUSION: PEW in Tehran HD patients is considerably prevalent and PEW type IIa is the most common type. In addition, HD patients with no PEW based on SGA should also be paid attention because they may be in the early stages of inadequate intake of energy and/or protein and inflammation. SN - 1525-6049 UR - https://www.unboundmedicine.com/medline/citation/23002898/Prevalence_of_protein_energy_wasting_and_its_various_types_in_Iranian_hemodialysis_patients:_a_new_classification_ L2 - https://www.tandfonline.com/doi/full/10.3109/0886022X.2012.718710 DB - PRIME DP - Unbound Medicine ER -